Manager, Vendor Management

🔥 12 hours ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛒 Procurement

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Manage all aspects of vendor activity for Utilization Management staff vendors • Manage vendor utilization, including workflows for coordinating services • Analyze vendor data and complete required reports for the health plan, Corporate, and state • Create and manage vendor scorecards and associated ratings/correction plans • Act as a key account manager for high-priority providers and vendors • Coordinate with cross-functional teams regarding vendor expectations, performance, and procedures • Educate and communicate expectations, performance, and procedures to vendors with Medical Management, Member Services, and Provider Services • Conduct monthly meetings and document discussions, issues, attendees, and action items • Research and resolve claim disputes involving vendors, members, or providers and route issues for resolution • Respond to provider-related database information requests and concerns • Ensure operational integrity and compliance with policies, procedures, and state and federal contracts and guidelines • Request or assist in developing corrective action plans for unmet vendor standards

🎯 Requirements

• Bachelor's degree in public health, business or related field or equivalent experience • 4+ years of healthcare management experience • Preferably experience in vendor managed care or the health insurance field • Clinical vendor management experience highly preferred • Leadership background highly preferred • Managed care experience (Medicare/Medicaid/Commercial) highly preferred • Experience with reporting and analyzing data preferred • Strong Excel skills and experience working with a variety of software data programs preferred • Project management experience is a plus

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation

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